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1851753081
KELLY LOGGAN
PORTLAND, OR
NPI
1851753081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: OR 3609)
Enumeration Date
2016-03-26
Last Update Date
2016-03-26
Business Address
KELLY LOGGAN L.M.T.
2080 SE OAK GROVE BLVD SUITE 7
PORTLAND, OR 97267-2657
Phone number: 503-786-9940
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Mailing Address
KELLY LOGGAN L.M.T.
2080 SE OAK GROVE BLVD SUITE 7
PORTLAND, OR 97267-2657
Phone number: 503-786-9940
Copy
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